- Humana (Oklahoma City, OK)
- …Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies + Demonstrated ability to manage multiple ... administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** To ensure… more
- UPMC (Pittsburgh, PA)
- …you will be responsible for all Insurance-related Vendors, Pre-transplant Charge Capture, Medicare Bad Debt data preparation and Tobacco audits. The Manager is ... for Payer Collaborative meetings and Insurance Vendors and/or Pre TX and Medicare /Cost Report + Lead the implementation of new-existing initiatives and workflows for… more
- LA Care Health Plan (Los Angeles, CA)
- …of at least one of the following health care programs: Medicaid/Medi-Cal, Covered California, Medicare , or Medicare Dual Special Needs Plan. Minimum of 1 year ... a wide range of benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer… more
- Idaho Division of Human Resources (Caldwell, ID)
- …Student Loan Forgiveness (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service) and Tuition Reimbursement ! + Easy commute with reverse traffic ... survivor benefits based on earnings from this job. However, Medicare taxes will still be withheld, and these earnings...still be withheld, and these earnings will count toward Medicare eligibility. Who May Apply Individuals who meet all… more
- CVS Health (Harrisburg, PA)
- …supporting complex Capitation analyses that support our strategic goals for Medicaid, Medicare , IFP and commercial, and working collaboratively with the Network to ... and tracking results + Expertise in multiple areas of provider contracting/ reimbursement , analysis, modeling & reporting; Extensive & diverse knowledge of healthcare… more
- Kestra Medical Technologies, Inc (Memphis, TN)
- …provides training, on-going product service and support, and assistance in the reimbursement process. ESSENTIAL DUTIES * Responsible for the sales and ongoing ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- LA Care Health Plan (Los Angeles, CA)
- …and adherence to LA Care's Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services ... DOI, DHCS, and CMS regulatory requirements. Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of… more
- UHS (Binghamton, NY)
- …Prepare and submit timely, well-documented appeals for denied services to Medicare , Medicaid, and commercial payers, including Insurance Reviewers, Hearing Officers, ... and hospital coders to ensure accurate CPT coding for emergency Medicare admissions and support correct hospitalization status determinations. + Collaborate with… more
- UCHealth (Colorado Springs, CO)
- …+ Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid. + Eligible to provide services with no sanctions or ... provide services, reimbursable services, and maintain provider status with Medicare and Medicaid. + Eligible to provide services with...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- AdventHealth (Orlando, FL)
- …intervening to remove barriers to timely and efficient care delivery and reimbursement . The RN Care Manager provides education to nurses, physicians and the ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… more